Brookside Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at Brookside Rehab & Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 8, 2024

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to maintain residents' highest level of well-being for two of 52 residents in the survey sample, Residents #44 and #51. The findings include: 1. For Resident #44 (R44), RN (registered nurse) #8 failed to assess and treat the resident in a timely manner. R44 sustained a fall during the day shift on 7/20/24. During the evening shift on 7/20/24, CNAs (certified nursing assistants) reported R44 was screaming in pain and RN #8 failed to assess the resident. On 7/21/24, R44 was screaming and could not be moved in the bed. […]

• Actual harm, isolatedF684Sep 1, 2023

  Based on observation, family interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess and/or monitor a change in a resident's condition for one of 45 residents in the survey sample, Residents #254. For Resident #254, the facility staff failed to assess and monitor a diabetic resident's right great toe after identifying a skin tear. Three days after identifying the skin tear, the resident was transferred to the hospital with a necrotic right great toe and received treatment with antibiotics. The lack of assessment and monitoring resulted in harm to Resident #254. The findings include: For Resident #254 (R254), the facility staff identified a skin tear on her right great toe on 8/26/23. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2024

  Based on observation, staff interview and facility document review, it was determined the facility staff failed to store food and maintain a kitchen in a sanitary manner for one of one kitchens. The findings include: Observation was made of the kitchen on 8/5/24 at 11:03 a.m. accompanied by OSM (other staff member) #7, the dietary manager. In the walk-in freezer a carton containing hashbrowns was open and the bag was open to the air. A carton with frozen biscuits was observed open and the bag was open to the air. A carton containing frozen chocolate chip cookies was observed to be open with the bag open to air. When asked how the boxes in the freezer are to be stored, OSM #7 stated the bag is supposed to be tied and the box secured. […]

• No harm, potential for more than minimal, widespreadF804Feb 17, 2022

  Based on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to provide food at a palatable temperature during lunch service on 02/16/2022, with the potential to affect 55 of 55 residents on the North unit receiving a meal tray. The vegetables, potatoes, and mechanical soft vegetables served at lunch and tested for palatability were below a palatable temperature. The findings include: Review of the resident council minutes from 11/30/2021 revealed in part, .Residents state their food is not hot when they receive their meals. […]

• No harm, potential for more than minimal, patternF689Oct 21, 2025

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to provide adequate supervision for three of 14 residents in the survey sample, Residents #2, #11, and #6.The findings include:1. For R2, facility staff failed to provide supervision to prevent playing with and ingesting fecal material. R2 was admitted to the facility with diagnosis that included but was not limited to bipolar disorder (1) and dementia (2). On the most recent comprehensive MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 09/13/2025, R2 scored 0 (zero) out of 15 on the BIMS (brief interview for mental status), indicating R2 was severely impaired of cognition for making daily decisions. […]